BSN 266 HESI V2 2024 QUESTIONS
WITH CORRECT ANSWERS
Whilescaringsforsasclientswithsfullsthicknesssburnsscoverings40%sofsthesbody,sthesnursesobs
ervesspurulentsdrainagesfromstheswounds.sBeforesreportingsthesfinding,swhatsissthesbestsla
bsvaluestosevaluate?s-sans--Neutrophilscount-
sThespatientsissexperiencingsinfection,ssosasnursesshouldsreviewsthesneutrophilscountsbefo
rescontactingsthesHCP.
Ansolderswomanswhosexperiencedsascerebrovascularsaccidents(CVA)shassdifficultyswithsvi
sualsperceptionsandsshesonlyseatsshalfsofsthesfoodsonshersmealstray.sHersfamilysexpressess
concernsaboutshersnutritionalsstatus.sHowsshouldsthesnursesrespondstosthesfamily'ssconce
rn?s-sans--Demonstratesthesusesofsvisualsscanningsduringsmealsstosthesclientsandsfamily.
Bestspositionsforsrespiratorysdistress?s-sans--HighsFowler'ssPosition-
sHighsfowlersshelpsstosdecreasesvenoussreturn,swhichsdecreasessfluidsvolumesinsthesheart
sthatsresultssinsdecreasedscardiacsworkload.
Aspatientswithsperipheralsarterysdiseaseshassmarkedsperipheralsneuropath.sAnsappropriat
esnursingsdiagnosissforsthespatientsiss-sans--Highsrisksforsinjury
Types2sdiabetesspatientsdischargesteachingspatientsandsfamilys-sans--
Checksfeetseverysdaysforscutssorsinjuries.
PlansofscaresforspatientswithsskinslesionssofslowersextremitiesswithspossiblesMRSA.sSATAs-
sans--InstitutesContactsprecautionssforsstaffsandsvisitors
Sendswoundsdrainagesforsculturesandssensitivity
MonitorsthesclientssWBCscount
AspatientswithsacutesanteriorswallsMIs1sweeksagosissgivenslow-
dosesaspirin.sThesmedicationsissrelatedstoswhichsproblemsandsHCPsshouldsbesnotified?s-
sans--Hematemesis-s-
sContactsHCPsifsbloodsissvisiblesinsbodysfluidsssuchsasshematemesis.
ForsaspatientswithsSLEsexacerbationswhatsissthesmostsimportantstosreportswhichsassessm
entsfinding?s-sans--Elevatedsbloodsureasnitrogens(BUN)
Beforesselectingsasmedicationstosadminister,swhichsactionsshouldsthesnursesimplementsinst
hespost-
opspatientswhosreportssincisionalspainsandshass2sPRNsanalgesiasavailablesinsMAR?s-sans-
-Ratesofspainsonsasscalesfroms0-10.
, Patientshadsbariatricssurgerys2smonthssagoswhosdevelopedspost-
opsstricturesswhosissexperiencingsnauseasandsvomitingsandsanorexiaswhosissadmittedsforsf
luidsresuscitation.sWhichsinterventionsshouldsthesnursesimplement?s-sans--
KeepspatientsNPO-
sPatientsshouldsbeskeptsNPOsuntilsproceduresisssuccessfullyscompleted.sThespatientsshoul
dsnotstakesanythingsbysmouth.
AcutesKidneysInjurysduestosaminoglycosidesantibioticsmovedsfromsoliguricsphasestosthesdi
ureticsphase.sWhichsparameterssaresmostsimportantstosmonitor?s-sans--
VitalssignschangessandsECGs-
sPrioritysparameterssaresvitalssignschangessrelatedstoshypovolemiasandsECGschangessdu
estosserumselectrolytesloss,swhichscansbeslifesthreatening.
Patientshassascalciumsoxalatesrenalsstone.sWhichsfoodsaresyousgoingstosteachsthespatients
tosavoid?s-sans--Nuts,schocolate,sdarksgreens,sandsspinach.
Aspatientshadsascholecystectomys2sdayssago,sthespatientsissfebrile,sabdominalspainsradiati
ngstosthesbacksandshasshads3sepisodessofsvomitingsinstheslasts8shours.sThespatientsissexhi
bitingssymptomssforswhichscondition?s-sans--Pancreatitis-
scomplicationssincludespancreatitissthatsmaysmanifestswithsuppersleftsquadrantsorsmid-
epigastricspainswhichsradiatesstosthesbacksandsaccompaniedsbysnausea,svomiting,sandsfe
ver.
PatientshassasbowelsobstructionsandsABGssreadsph-s7.50sPaCO2-42sandsHCO3-
33.sHowswouldsyousdefinesthissacidsbasesbalance?s-sans--
UncompensatedsMetabolicsAlkalosis
Psoriasisswithssilvery,sscalysareassonselbowssandspalmssthatsburnsandsbleed.sWhichspres
criptionsshouldsthesnursesteachsthesclientstosusesforsskinscondition?s-sans--
PrescriptionsstrengthsCorticosteroids-
sdecreasesinflammationsandshelpsmanagespsoriasissplaques.sPsoriasississasskinscellsprolif
erationsofsthessurfacesofsthesskinscausingsthickssilverysscalessorsitchysredspatches.
PatientswithsAIDssandsoralscandidiasisshassseveralspainfulsmouthsulcers.sThesnursesdeleg
atessoralscarestosthesUAPsandsdiscussesshowstosassistsclient.sWhatsinstructionssdosyousgi
vestosthesUAP?s-sans--Providesassoftsbristledstoothbrush-
sallowssforsgentlescleaningswithslesssrisksofstraumasthansashardsbristledsbrush.sCandidiasis
softenscalledsoralsthrushswhichsissasfungalsinfectionsofsthesmouth,sitsisscommonsinsbabies,sp
eopleswithsimmunesdeficiency,sandsthoseswhosusessteroidssprayssforsasthma.
Asyoungsadultswithsosteoarthritissofsbothsknee'ssdesiresstoscontinuesdailyswalkssatsthespar
kswithsfriends.showsshouldsthesnursesrespond?s-sans--
Continuesmaintenancesregimensandswalks
WITH CORRECT ANSWERS
Whilescaringsforsasclientswithsfullsthicknesssburnsscoverings40%sofsthesbody,sthesnursesobs
ervesspurulentsdrainagesfromstheswounds.sBeforesreportingsthesfinding,swhatsissthesbestsla
bsvaluestosevaluate?s-sans--Neutrophilscount-
sThespatientsissexperiencingsinfection,ssosasnursesshouldsreviewsthesneutrophilscountsbefo
rescontactingsthesHCP.
Ansolderswomanswhosexperiencedsascerebrovascularsaccidents(CVA)shassdifficultyswithsvi
sualsperceptionsandsshesonlyseatsshalfsofsthesfoodsonshersmealstray.sHersfamilysexpressess
concernsaboutshersnutritionalsstatus.sHowsshouldsthesnursesrespondstosthesfamily'ssconce
rn?s-sans--Demonstratesthesusesofsvisualsscanningsduringsmealsstosthesclientsandsfamily.
Bestspositionsforsrespiratorysdistress?s-sans--HighsFowler'ssPosition-
sHighsfowlersshelpsstosdecreasesvenoussreturn,swhichsdecreasessfluidsvolumesinsthesheart
sthatsresultssinsdecreasedscardiacsworkload.
Aspatientswithsperipheralsarterysdiseaseshassmarkedsperipheralsneuropath.sAnsappropriat
esnursingsdiagnosissforsthespatientsiss-sans--Highsrisksforsinjury
Types2sdiabetesspatientsdischargesteachingspatientsandsfamilys-sans--
Checksfeetseverysdaysforscutssorsinjuries.
PlansofscaresforspatientswithsskinslesionssofslowersextremitiesswithspossiblesMRSA.sSATAs-
sans--InstitutesContactsprecautionssforsstaffsandsvisitors
Sendswoundsdrainagesforsculturesandssensitivity
MonitorsthesclientssWBCscount
AspatientswithsacutesanteriorswallsMIs1sweeksagosissgivenslow-
dosesaspirin.sThesmedicationsissrelatedstoswhichsproblemsandsHCPsshouldsbesnotified?s-
sans--Hematemesis-s-
sContactsHCPsifsbloodsissvisiblesinsbodysfluidsssuchsasshematemesis.
ForsaspatientswithsSLEsexacerbationswhatsissthesmostsimportantstosreportswhichsassessm
entsfinding?s-sans--Elevatedsbloodsureasnitrogens(BUN)
Beforesselectingsasmedicationstosadminister,swhichsactionsshouldsthesnursesimplementsinst
hespost-
opspatientswhosreportssincisionalspainsandshass2sPRNsanalgesiasavailablesinsMAR?s-sans-
-Ratesofspainsonsasscalesfroms0-10.
, Patientshadsbariatricssurgerys2smonthssagoswhosdevelopedspost-
opsstricturesswhosissexperiencingsnauseasandsvomitingsandsanorexiaswhosissadmittedsforsf
luidsresuscitation.sWhichsinterventionsshouldsthesnursesimplement?s-sans--
KeepspatientsNPO-
sPatientsshouldsbeskeptsNPOsuntilsproceduresisssuccessfullyscompleted.sThespatientsshoul
dsnotstakesanythingsbysmouth.
AcutesKidneysInjurysduestosaminoglycosidesantibioticsmovedsfromsoliguricsphasestosthesdi
ureticsphase.sWhichsparameterssaresmostsimportantstosmonitor?s-sans--
VitalssignschangessandsECGs-
sPrioritysparameterssaresvitalssignschangessrelatedstoshypovolemiasandsECGschangessdu
estosserumselectrolytesloss,swhichscansbeslifesthreatening.
Patientshassascalciumsoxalatesrenalsstone.sWhichsfoodsaresyousgoingstosteachsthespatients
tosavoid?s-sans--Nuts,schocolate,sdarksgreens,sandsspinach.
Aspatientshadsascholecystectomys2sdayssago,sthespatientsissfebrile,sabdominalspainsradiati
ngstosthesbacksandshasshads3sepisodessofsvomitingsinstheslasts8shours.sThespatientsissexhi
bitingssymptomssforswhichscondition?s-sans--Pancreatitis-
scomplicationssincludespancreatitissthatsmaysmanifestswithsuppersleftsquadrantsorsmid-
epigastricspainswhichsradiatesstosthesbacksandsaccompaniedsbysnausea,svomiting,sandsfe
ver.
PatientshassasbowelsobstructionsandsABGssreadsph-s7.50sPaCO2-42sandsHCO3-
33.sHowswouldsyousdefinesthissacidsbasesbalance?s-sans--
UncompensatedsMetabolicsAlkalosis
Psoriasisswithssilvery,sscalysareassonselbowssandspalmssthatsburnsandsbleed.sWhichspres
criptionsshouldsthesnursesteachsthesclientstosusesforsskinscondition?s-sans--
PrescriptionsstrengthsCorticosteroids-
sdecreasesinflammationsandshelpsmanagespsoriasissplaques.sPsoriasississasskinscellsprolif
erationsofsthessurfacesofsthesskinscausingsthickssilverysscalessorsitchysredspatches.
PatientswithsAIDssandsoralscandidiasisshassseveralspainfulsmouthsulcers.sThesnursesdeleg
atessoralscarestosthesUAPsandsdiscussesshowstosassistsclient.sWhatsinstructionssdosyousgi
vestosthesUAP?s-sans--Providesassoftsbristledstoothbrush-
sallowssforsgentlescleaningswithslesssrisksofstraumasthansashardsbristledsbrush.sCandidiasis
softenscalledsoralsthrushswhichsissasfungalsinfectionsofsthesmouth,sitsisscommonsinsbabies,sp
eopleswithsimmunesdeficiency,sandsthoseswhosusessteroidssprayssforsasthma.
Asyoungsadultswithsosteoarthritissofsbothsknee'ssdesiresstoscontinuesdailyswalkssatsthespar
kswithsfriends.showsshouldsthesnursesrespond?s-sans--
Continuesmaintenancesregimensandswalks
